iCARE Summer Scholarship Progress Report

BEFORE COMPLETING THIS FORM

We kindly ask that you review this entire form in advance to help you prepare your submission. For reasons of privacy, this form does not offer a "Save and Continue" feature as this involves storing personal information on our servers without your express consent.

IMPORTANT: We recommend that you review and prepare the elements of your submission in advance, and then return to complete the form once all your elements are ready.

If you have comments or other questions concerning this application, please contact the iCARE Team at covid19study@mbmc-cmcm.ca.
For technical assistance, please contact the IBTN web team at help@ibtnetwork.org.

Applicant Information

Full Name*
First Last
Home Country*
Please indicate your home country

Country
Home Institution*
Please indicate the main institution at which you are currently employed or studying.
Email*
Please indicate your email address for the purposes of this application process.
Enter your email address Re-enter your email address

Mentor Information

iCARE Mentor's Full Name*
First Last
International Mentor's Home Country*
Please indicate the international mentor's home country

Country
International Mentor's Home Institution*
Please indicate the international mentor's home institution.

Project Information

Project Application Documents

In this next section, you are asked to upload a progress report which should not exceed three (3) pages.

The report should include the sections as outlined below.

You are also asked (if applicable) to upload proof of journal submission:

Progress Report Information
- 1. Project background (purpose, rationale, and anticipated benefit)
- 2. Aim(s) and hypothesis of the project
- 3. Mentor's support and contributions
- 3. Data analytic plan
- 4. Methodology (including infrastructure and computing)
- 5. Brief results

1. Upload your Progress Report*
Maximum three (3) pages.
Accepted file types: doc, docx, odt, ott, pdf, rtf, Max. file size: 64 MB.
2. Upload proof of journal submission (if applicable)
Provide proof of journal submission
Accepted file types: doc, docx, odt, ott, pdf, rtf, jpg, gif, png, Max. file size: 64 MB.
Additional Information (optional)
If you feel additional information could be relevant to your report, please include it here (maximum of 250 characters).
Awardee Statement of Consent*
By submitting your progress report, you hereby consent to sharing the information contained in your report with the iCARE team and the iCARE Research Award Committee. You also attest that the information provided in your report is both complete and accurate.
- I consent to sharing the information in my report with the iCARE team and Research Award Committee.
- I attest that the information provided in my report is both complete and accurate.
Please review all fields before clicking the submission button below.
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Please review all fields before clicking the submission button below.